| National Provider Identifier [NPI]: | 1881634848 |
| Last Name Of The Provider | ALI |
| First Name Of The Provider | OMAR |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 14 RESEARCH PL |
| Street Address 2 Of The Provider | |
| City Of The Provider | N CHELMSFORD |
| Zip Code Of The Provider | 018632412 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 74 |
| Number Of Services | 4354 |
| Number Of Medicare Beneficiaries | 2359 |
| Total Submitted Charge Amount | 1058171 |
| Total Medicare Allowed Amount | 285853.85 |
| Total Medicare Payment Amount | 212940.56 |
| Total Medicare Standardized Payment Amount | 205458.09 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 124 |
| Number Of Medicare Beneficiaries With Drug Services | 30 |
| Total Drug Submitted ChargeAmount | 10760 |
| Total Drug Medicare AllowedAmount | 6369 |
| Total Drug Medicare PaymentAmount | 4959.22 |
| Total Drug Medicare Standardized Payment Amount | 4959.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 72 |
| Number Of Medical Services | 4230 |
| Number Of Medicare Beneficiaries With Medical Services | 2359 |
| Total Medical Submitted Charge Amount | 1047411 |
| Total Medical Medicare Allowed Amount | 279484.85 |
| Total Medical Medicare Payment Amount | 207981.34 |
| Total Medical Medicare Standardized Payment Amount | 200498.87 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 554 |
| Number Of Beneficiaries Age 65 to 74 | 754 |
| Number Of Beneficiaries Age 75 to 84 | 623 |
| Number Of Beneficiaries Age Greater 84 | 428 |
| Number Of Female Beneficiaries | 1232 |
| Number Of Male Beneficiaries | 1127 |
| Number Of Non Hispanic White Beneficiaries | 1969 |
| Number Of Black or African American Beneficiaries | 46 |
| Number Of AsianPacific Islander Beneficiaries | 140 |
| Number Of Hispanic Beneficiaries | 172 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1381 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 978 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9095 |